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Post-Traumatic Stress Disorder (PTSD): Indian Perspective

  • Lalitha Pillai
  • Sureshkumar G. Mehta
  • Bhushan L. Chaudhari
Reference work entry

Abstract

Since its introduction PTSD has been a topic for debate relating to its validity as a clinical construct, its clinical relevance in various situations, transcultural issues related with it, and even core symptoms associated with diagnostic construct. Studies from India have shown its presence as a psychiatric morbidity after various natural as well as man-made disasters, though to a variable extent. Search for PTSD postdisaster in affected population has been useful in identifying people in need of psychosocial interventions. However, it has been stressed by many researchers that cultural aspects, local psychosocial framework, and coping strategies specific to the population have major clinical and therapeutic implications as far as PTSD is concerned.

Keywords

Post-traumatic stress disorder India Disaster Culture Religious counselling Faith healing Ayurveda Yoga 

List of Abbreviations

DSM III R

Diagnostic and Statistical Manual of Mental Disorders, 3rd Edition, Revised

DSM IV

Diagnostic and Statistical Manual of Mental Disorders, 4th Edition

GAD

Generalized anxiety disorder

GHQ12

General health questionnaire 12 item

ICD 10

International Classification of Diseases 10th Edition

ICD 10 DCR

International Classification of Diseases 10th Edition: Diagnostic Criteria for Research

ICMR

Indian Council of Medical Research

MINI-KID

Mini International Neuropsychiatric Interview for children and adolescents

PTSD

Post-traumatic stress disorder

PTSS

Post-traumatic symptom scale

SCAN

Schedules for clinical assessment in neuropsychiatry

SRQ

Self-reporting questionnaire

V.H.A.I.

Voluntary Health Association of India

References

  1. Avasthi A, Kate N, Grover S. Indianization of psychiatry utilizing Indian mental concepts. Indian J Psychiatry. 2013;55:136–44.Google Scholar
  2. Banal R, Thappa J, Shah HU, Hussain A, Chowhan A, Kaur H, et al. Psychiatric morbidity in adult Kashmiri migrants living in a migrant camp at Jammu. Indian J Psychiatry. 2010;52:154–8.CrossRefPubMedPubMedCentralGoogle Scholar
  3. Chadda RK, Malhotra A, Kaw N, Singh J, Sethi H. Mental health problems following the 2005 earthquake in Kashmir: findings of community-run clinics. Prehosp Disaster Med. 2007;22(6):541–5.PubMedGoogle Scholar
  4. Chandra PS, Desai G, Ranjan S. HIV and psychiatric disorders. Indian J Med Res. 2005;121:451–67.PubMedGoogle Scholar
  5. Chandra PS, Satyanarayana VA, Carey MP. Women reporting intimate partner violence in India: associations with PTSD and depressive symptoms. Arch Womens Ment Health. 2009;12(4):203–9.CrossRefPubMedPubMedCentralGoogle Scholar
  6. Dalal PK, Saha R, Agarwal M. Psychiatric aspects of burn. Indian J Plast Surg. 2010;43(Suppl):136–42.CrossRefGoogle Scholar
  7. Desai NG, Gupta DK, Joshi PC, et al. Mental health services needs and service delivery models in the earthquake disaster affected population in Gujarat: a pilot phase study. Report submitted to Indian Council of Medical Research (ICMR). 2002.Google Scholar
  8. Desai NG, Gupta DK, Srivastava RK. Prevalence, pattern and predictors of mental health morbidity following an intermediate disaster in an urban slum in Delhi: a modified cohort study. Indian J Psychiatry. 2004;46:39–51.PubMedPubMedCentralGoogle Scholar
  9. Descilo T, Vedamurtachar A, Gerbarg PL, Nagaraja D, Gangadhar BN, Damodaran B, Adelson B, Braslow LH, Marcus S, Brown RP. Effects of a yoga breath intervention alone and in combination with an exposure therapy for post-traumatic stress disorder and depression in survivors of the 2004 South-East Asia tsunami. Acta Psychiatr Scand. 2010;121:289–300.CrossRefPubMedGoogle Scholar
  10. Emerson D, Ryt E, Sharma R, Chaudhry S, Turner J. Trauma-sensitive yoga: principles, practice, and research. Int J Yoga Ther. 2009;19(1):123–8.Google Scholar
  11. Gautam S, Gupta ID, Batra L, Sharma H, Khandelwal R, Pant A. Psychiatric morbidity among victims of bomb blast. Indian J Psychiatry. 1998;40:41–5.PubMedPubMedCentralGoogle Scholar
  12. Indian Council of Medical Research. ICMR centre for advanced research on health consequences of earthquake disaster (Marathwada, 1993) with special reference to mental health. Report submitted to ICMR. Pune- Maharashtra Institute of Mental Health. 2000.Google Scholar
  13. Jacob KS, Kallivayalil RA, Mallik AK, Gupta N, Trivedi JK, Gangadhar BN, et al. Diagnostic and statistical manual-5: position paper of the Indian psychiatric society. Indian J Psychiatry. 2013;55:12–30.CrossRefPubMedPubMedCentralGoogle Scholar
  14. John PB, Russell S, Russell PSS. The prevalence of posttraumatic stress disorder among children and adolescents affected by tsunami disaster in Tamil Nadu. Disaster Manag Response. 2007;5(1):3–7.CrossRefPubMedGoogle Scholar
  15. Juran L. The gendered nature of disasters: women survivors in post-tsunami Tamil Nadu. Indian J Gend Stud. 2012;19(1):1–29.CrossRefGoogle Scholar
  16. Kakar S. Shamans, mystics, and doctors. London: Mandala Books; 1982.Google Scholar
  17. Kapadia F. Precipitants of post-traumatic stress disorder following intensive care: role of and need for physical restraints. Intensive Care Med. 2007;33:2226.CrossRefPubMedGoogle Scholar
  18. Kar GC. Disaster and mental health. Indian J Psychiatry. 2000;42:3–13.PubMedPubMedCentralGoogle Scholar
  19. Kar N, Bastia BK. Post-traumatic stress disorder, depression and generalised anxiety disorder in adolescents after a natural disaster: a study of comorbidity. Clin Pract Epidemiol Ment Health. 2006;2:17.CrossRefPubMedPubMedCentralGoogle Scholar
  20. Kar N, Jagadisha, Murali N. Post-traumatic stress disorder in children following disaster. Kerala J Psychiatry. 2001;16(2):7–14.Google Scholar
  21. Kar N, Jagdisha, Sharma PSVN, Murali N, Mehrotra S. Mental health consequences of the trauma of super-cyclone 1999 in Orissa. Indian J Psychiatry. 2004;46(3):228–37.PubMedPubMedCentralGoogle Scholar
  22. Kar N, Mohapatra PK, Nayak KC, Pattnaik P, Swain SP, Kar HC. Post-traumatic stress disorder in children and adolescents one year after a super-cyclone in Orissa. India: exploring cross-cultural validity and vulnerability factors. BMC Psychiatry. 2007;7:8.CrossRefPubMedPubMedCentralGoogle Scholar
  23. Kumar MS, Murhekar MV, Hutin Y, Subramanian T, Ramachandran V, Gupte MD. Prevalence of posttraumatic stress disorder in a coastal fishing village in Tamil Nadu, India, after the December 2004 tsunami. Am J Public Health. 2007;97(1):99–101.CrossRefPubMedPubMedCentralGoogle Scholar
  24. Laungani P. Stress, trauma, and coping strategies: cross-cultural variations. Int J Group Tensions. 2002;31(2):127–54.CrossRefGoogle Scholar
  25. Math SB, Tandon S, Girimaji SC, Benegal V, Kumar U, Hamza A, et al. Psychological impact of the tsunami on children and adolescents from the Andaman and Nicobar islands: prim care companion. J Clin Psychiatry. 2008;10:31–7.Google Scholar
  26. Mehta K, Vankar G, Patel V. Validity of the construct of post-traumatic stress disorder in a low-income country: interview study of women in Gujarat, India. Br J Psychiatry. 2005;187:585–6.CrossRefPubMedGoogle Scholar
  27. Mohandas E. Roadmap to Indian psychiatry. Indian J Psychiatry. 2009;51:173–9.CrossRefPubMedPubMedCentralGoogle Scholar
  28. Murthy RS. Introduction to psychiatry: Book Review. Indian J Psychiatry. 2009;51:72.Google Scholar
  29. Nambi S, Desai NG, Shah S. Mental health morbidity and service needs in tsunami affected population in coastal Tamil Nadu. Indian J Psychiatry. 2007;49(Suppl):2–3.Google Scholar
  30. Patel V. Culture and mental health consequences of trauma. Indian J Soc Work. 2000;61:619–30.Google Scholar
  31. Pillai L, Aigalikar S, Vishwasrao SM, Husainy SMK. Can we predict intensive care relatives at risk for posttraumatic stress disorder? Indian J Crit Care Med. 2010;14(2):83–7.CrossRefPubMedPubMedCentralGoogle Scholar
  32. Pyari TT, Kutty RV, Sarma PS. Risk factors of post-traumatic stress disorder in tsunami survivors of Kanyakumari District, Tamil Nadu, India. Indian J Psychiatry. 2012;54:48–53.CrossRefPubMedPubMedCentralGoogle Scholar
  33. Rajkumar AP, Premkumar TS, Tharyan P. Coping with the Asian tsunami: perspectives from Tamil Nadu, India on the determinants of resilience in the face of adversity. Soc Sci Med. 2008;67:844–53.CrossRefPubMedGoogle Scholar
  34. Rajkumar AP, Mohan TS, Tharyan P. Lessons from the 2004 Asian tsunami: epidemiological and nosological debates in the diagnosis of post-traumatic stress disorder in non-western post-disaster communities. Int J Soc Psychiatry. 2013;59(2):123–9.CrossRefPubMedGoogle Scholar
  35. Seethalakshmi R, Dhavale HS, Gawande S, Dewan M. Psychiatric morbidity following motor vehicle crashes: a pilot study from India. J Psychiatr Pract. 2006;12(6):415–8.CrossRefPubMedGoogle Scholar
  36. Shah S. Holistic approach to community in crisis. Psychiatr Clin N Am. 2013;36(3):403–16.CrossRefGoogle Scholar
  37. Sharan P, Chaudhary G, Kavathekar SA, Saxena S. Preliminary report of psychiatric disorders in survivors of a severe earthquake. Am J Psychiatry. 1996;153:556–8.CrossRefPubMedGoogle Scholar
  38. Sharma A, Rao S, Srinivas S. Mandi Dabwali fire disaster. Psychological impact on school children after two months-preliminary findings. Indian J Psychiatry. 1998;40(Suppl):51–2.Google Scholar
  39. Sheth HC, Gandhi Z, Vamkar GK. Anxiety disorders in ancient Indian literature. Indian J Psychiatry. 2010;52:289–91.CrossRefPubMedPubMedCentralGoogle Scholar
  40. Shetty H, Chhabria A. Bombay riots. In: Proceedings of national workshop on psychosocial consequences of disasters. Bangalore: NIMHANS; 1997.Google Scholar
  41. Telles S, Singh N, Joshi M. Risk of posttraumatic stress disorder and depression in survivors of the floods in Bihar, India. Indian J Med Sci. 2009;63:330–4.CrossRefPubMedGoogle Scholar
  42. Terheggen MA, Stroebe MS, Kleber RJ. Western conceptualizations and eastern experience: a cross-cultural study of traumatic stress reactions among Tibetan refugees in India. J Trauma Stress. 2001;14(2):391–403.CrossRefPubMedGoogle Scholar
  43. Trivedi JK. Terrorism and mental health. Indian J Psychiatry. 2004;46(1):7–14.PubMedPubMedCentralGoogle Scholar
  44. Vankar GK, Banwari G, Parikh V, Shah H. PTSD in children and adolescents: four years after the communal violence. Indian J Psychiatry. 2007;49(Suppl):4.Google Scholar
  45. Wang X, Gao L, Shinfuku N, Zhang H, Zhao C, Shen Y. Longitudinal study of earthquake-related PTSD in a randomly selected community sample in North China. Am J Psychiatry. 2000;157:1260–6.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Lalitha Pillai
    • 1
  • Sureshkumar G. Mehta
    • 2
  • Bhushan L. Chaudhari
    • 2
  1. 1.Department of Medicine and Critical CareAundh Institute of Medical Sciences and Research CenterAundh PuneIndia
  2. 2.Department of PsychiatryDr. D. Y. Patil Medical CollegePuneIndia

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